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International Journal of Offender Therapy and Comparative Criminology
Forensic Medicine in the Next Century
Forensic Medicine in the Next Century:
Some Ethical Challenges
José G. V. Taborda
Julio Arboleda-Flórez
Abstract: The authors, after having defined the concepts of ethics, morality, and legality,
debate the main ethical problems that forensic medicine will face in the next century. The
authors foresee that the technological advancement will present imposing challenges, includ-
ing those concerning genetic manipulation and the keeping of confidentiality regarding elec-
tronic files. On the other hand, old problems will recur, the most important being the vital ques-
tion of research with prisoners and the use of torture by agents of the state. The authors also
discuss the role of the forensic physician in these contexts and conclude that there is a need for
international legislative mechanisms that would establish a set of explicit rules of behavior,
thus diminishing the possibility of ethical dilemmas.
Forensic medicine is the practice of any medical act that is at the direct service of
the judiciary power, either enlightening facts of a technical nature indispensable
to the correct use of the law before adjudication, or as a result of judicial action
being practiced after sentencing. The former would occur in the forensic sphere
itself, with the physician acting exclusively as an expert; the latter would happen
basically in the prison setting, when both expert and therapeutical actions may
take place. Forensic medicine, therefore, can be considered as a very particular
form of medical practice. On one hand, it does not primarily aim at the medical
benefit of the person under examination (in the case of expert evaluation). On the
other hand, when it is essentially therapeutical, the relation established between
the doctor and the patient is basically of a triangular nature
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